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Doctor insights on: Is Melatonin Safe For Dementia Patients With Afib

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82 yoM, Pradaxa(Afib) til 7/8, when pain, small gangrene 5th toe. Now much worse.CABG, dementia, uses walker. Arteriogram/surg possible before 7/15?

 82 yoM, Pradaxa(Afib) til 7/8, when pain, small gangrene 5th toe. Now much worse.CABG, dementia, uses walker. Arteriogram/surg possible before 7/15?

Unclear question.: certainly consulting current treating physicians about surgery on the toe makes sense. The things that increase risk of heart disease and need for CABG all increase likelihood of dementia. Major surgeries like a CABG can cause, worsen and/or make cognitive impairment and dementia more apparent. Palliative care and symptom management may be a preferred approach. ...Read more

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Dr. John Garner
1,803 doctors shared insights

Atrial Fibrillation (Definition)

Atrial fibrillation is an irregular and often rapid heart rate that commonly causes poor blood flow to the body. During atrial fibrillation, the heart's two upper chambers (the atria) beat chaotically and irregularly — out of coordination with the two lower chambers (the ventricles) of the heart. Atrial fibrillation symptoms include heart palpitations, shortness ...Read more


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Is melatonin safe for dementia patients with afib?

Prob: The question is whether we can figure out what is the cause of insomnia in a person with dementia---at times it can be caused by sleep architecture breakdown from the illness itself; at times from poor sleep hygiene; at times from meds or alcohol; at times from a sleep disorder such as apnea; can be from depression;; so important to first try to get to the cause... ...Read more

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Is melatonin safe for dementia patients? No bad effects for dementia patients?

Is melatonin safe for dementia patients? No bad effects for dementia patients?

Yes: Latest published studies showed that alzheimer's patients lack melatomin related metabolism in the body resulting sundowning effect. With the introduction of taking melatonin at bedtime reduces the severity of sundowning and sleeping related behavioral issues but does not completely resolve... ...Read more

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82 yoM, Pradaxa(Afib) til 7/8, when pain, small gangrene 5th toe. Now much worse.CABG, dementia, uses walker. Arteriogram/surg possible before 7/15?

Unclear question.: certainly consulting current treating physicians about surgery on the toe makes sense. The things that increase risk of heart disease and need for CABG all increase likelihood of dementia. Major surgeries like a CABG can cause, worsen and/or make cognitive impairment and dementia more apparent. Palliative care and symptom management may be a preferred approach. ...Read more

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Names of most suitable ssri antidepressant needed for multiinfarct stroke dementia patient, 67, with minor congestive heart failure, atrial fibrillation, diabetes. Dosage and duration info appreciated.

Names of most suitable ssri antidepressant needed for multiinfarct stroke dementia patient, 67, with minor congestive heart failure, atrial fibrillation, diabetes. Dosage and duration info appreciated.

SSRIs: There is some evidence that ssris help with post stroke remodeling where the brain works on regrowing connections between brain areas that were not killed by the stroke. There is also evidence they help prevent post stroke depression that is very common. Not much reason to think one ssri is better than another. See your prescriber for specific dosage recommendations. ...Read more

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Is moduretic (50/5) half tablet safe to be used to control bp if serum creatinine 1.7 ,blood urea 37 , s,k,4 in 72 yr patient with paroxysmal Afib?

Is moduretic (50/5) half tablet safe to be used to control bp if serum creatinine 1.7 ,blood urea 37 , s,k,4 in 72 yr patient with paroxysmal Afib?

Ask your doctor now: You should bring this question to your prescribing doctor for any concern or possible misunderstanding since s/he knows more about your individual conditions than anyone online. Further inquiry online may add unnecessary confusion, anxiety, & even fear. Do you trust your doctor? If not, see others as needed. ...Read more

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Is it safe to treat young patient <60 with resistant hypertension & afib with ARB+Metoprolol+Amlodipine+HCT+Dabigatran+Rosuvastatin? GFR>80, LDL-C<50

Is it safe to treat young patient <60 with resistant hypertension & afib with ARB+Metoprolol+Amlodipine+HCT+Dabigatran+Rosuvastatin? GFR>80, LDL-C<50

Yes, this is a: reasonable combination of medications but one would like to be certain that any reversible causes of the HTN have been evaluated and treated. Renal artery stenosis, morbid obesity, dietary noncompliance, etc. ...Read more

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Is it safe for a patient with dementia to get versed for a colonoscopy? Why or why not?

Is it safe for a patient with dementia to get versed for a colonoscopy? Why or why not?

Versed: The colonoscopy procedure will be fairly quick, but patients do need some sedation. Versed is frequently used, and is safe. It wears off very quickly also. Patients are carefully monitored and cared for during the procedure and after. They are in a recovery room until all systems are back to baseline. ...Read more

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Dr. Maureen Nash
1,423 doctors shared insights

Dementia (Definition)

Dementia is a brain disorder that seriously affects a person’s ability to carry out daily activities. The most common form of dementia among older people is Alzheimer’s disease(AD), which initially involves the parts of the brain that control thought, memory, and language. Vascular Dementia, Lewy Body Dementia are some ...Read more


Dr. Heidi Fowler
663 doctors shared insights

Melatonin (Definition)

Melatonin_is a hormone that helps regulate sleep. Some studies suggest that there is abnormal melatonin production in children with autism and other developmental disorders. Several studies suggest that melatonin may be useful for improving sleep, if ...Read more